Alphabetic Index | Tabular List | Neoplasms | Drugs and Chemicals | Injuries
R40
Somnolence, stupor and coma
R40.0
Somnolence
  • coma (R40.2-)
  • Drowsiness
R40.1
Stupor
  • catatonic schizophrenia (F20.2)
  • coma (R40.2-)
  • depressive stupor (F31-F33)
  • dissociative stupor (F44.2)
  • manic stupor (F30.2)
  • Catatonic stupor
  • Semicoma
R40.2
Coma
R40.20
Unspecified coma
  • Coma NOS
  • Unconsciousness NOS
R40.21
Coma scale, eyes open
  • The following appropriate 7th character is to be added to subcategory R40.21-:
  • unspecified time
  • in the field [EMT or ambulance]
  • at arrival to emergency department
  • at hospital admission
  • 24 hours or more after hospital admission
R40.211
Coma scale, eyes open, never
  • Coma scale eye opening score of 1
R40.212
Coma scale, eyes open, to pain
  • Coma scale eye opening score of 2
R40.213
Coma scale, eyes open, to sound
  • Coma scale eye opening score of 3
R40.214
Coma scale, eyes open, spontaneous
  • Coma scale eye opening score of 4
R40.22
Coma scale, best verbal response
  • The following appropriate 7th character is to be added to subcategory R40.22-:
  • unspecified time
  • in the field [EMT or ambulance]
  • at arrival to emergency department
  • at hospital admission
  • 24 hours or more after hospital admission
R40.221
Coma scale, best verbal response, none
  • Coma scale verbal score of 1
R40.222
Coma scale, best verbal response, incomprehensible words
  • Coma scale verbal score of 2
  • Incomprehensible sounds (2-5 years of age)
  • Moans/grunts to pain; restless (<2 years old)
R40.223
Coma scale, best verbal response, inappropriate words
  • Coma scale verbal score of 3
  • Inappropriate crying or screaming (< 2 years of age)
  • Screaming (2-5 years of age)
R40.224
Coma scale, best verbal response, confused conversation
  • Coma scale verbal score of 4
  • Inappropriate words (2-5 years of age)
  • Irritable cries (< 2 years of age)
R40.225
Coma scale, best verbal response, oriented
  • Coma scale verbal score of 5
  • Cooing or babbling or crying appropriately (< 2 years of age)
  • Uses appropriate words (2- 5 years of age)
R40.23
Coma scale, best motor response
  • The following appropriate 7th character is to be added to subcategory R40.23-:
  • unspecified time
  • in the field [EMT or ambulance]
  • at arrival to emergency department
  • at hospital admission
  • 24 hours or more after hospital admission
R40.231
Coma scale, best motor response, none
  • Coma scale motor score of 1
R40.232
Coma scale, best motor response, extension
  • Abnormal extensor posturing to pain or noxious stimuli (< 2 years of age)
  • Coma scale motor score of 2
  • Extensor posturing to pain or noxious stimuli (2-5 years of age)
R40.233
Coma scale, best motor response, abnormal flexion
  • Abnormal flexure posturing to pain or noxious stimuli (2-5 years of age)
  • Coma scale motor score of 3
  • Flexion/decorticate posturing (< 2 years of age)
R40.234
Coma scale, best motor response, flexion withdrawal
  • Coma scale motor score of 4
  • Withdraws from pain or noxious stimuli (2-5 years of age)
R40.235
Coma scale, best motor response, localizes pain
  • Coma scale motor score of 5
  • Localizes pain (2-5 years of age)
  • Withdraws to touch (< 2 years of age)
R40.236
Coma scale, best motor response, obeys commands
  • Coma scale motor score of 6
  • Normal or spontaneous movement (< 2 years of age)
  • Obeys commands (2-5 years of age)
R40.24
Glasgow coma scale, total score
  • The following appropriate 7th character is to be added to subcategory R40.24-:
  • unspecified time
  • in the field [EMT or ambulance]
  • at arrival to emergency department
  • at hospital admission
  • 24 hours or more after hospital admission
R40.241
Glasgow coma scale score 13-15
R40.242
Glasgow coma scale score 9-12
R40.243
Glasgow coma scale score 3-8
R40.244
Other coma, without documented Glasgow coma scale score, or with partial score reported
R40.3
Persistent vegetative state
R40.4
Transient alteration of awareness